{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:33:53Z","timestamp":1789104833674,"version":"build-2803163510"},"reference-count":30,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100022315","name":"Mason Medical Research Trust","doi-asserted-by":"publisher","award":["None supplied"],"award-info":[{"award-number":["None supplied"]}],"id":[{"id":"10.13039\/501100022315","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"NIHR","doi-asserted-by":"crossref","award":["EMD\/ACA-094-001"],"award-info":[{"award-number":["EMD\/ACA-094-001"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]},{"name":"LOROS Hospice","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,3,26]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the lived experiences of anxiety related to breathlessness in patients who are receiving specialist palliative care for advanced chronic respiratory disease (CRD), such as chronic obstructive pulmonary disease and interstitial lung diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This qualitative exploration formed part of a mixed-methods feasibility study of a novel intervention. Participants receiving specialist palliative care for CRD engaged in semi-structured interviews. Data were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two hospice sites in a single UK region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>11 participants were included in the analysis (7 male participants and 4 female participants with an age range of 49\u201375 years). Ethnicities were self-reported as white British (n=8) and Asian\/British Asian (n=3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three key organising themes emerged: (1) Understanding my breathlessness\u2014participants described their breathlessness as progressive, frightening and restrictive. (2) Understanding my anxiety\u2014described as emotional distress with a profound physical component, often compounded by external life stressors. (3) Vicious circle interlinks breathlessness and anxiety\u2014a circular bi-directional relationship where anxiety could not be separated from breathlessness. Participants often employed non-pharmacological strategies to manage both their anxiety and breathlessness interdependently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings provide insight into the intricate relationship between anxiety and breathlessness in patients with a range of CRD. There is an ongoing need for holistic support for patients with anxiety related to breathlessness in non-malignant conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-112993","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T05:50:35Z","timestamp":1777873835000},"page":"e112993","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["\u2018It helps my anxiety because I\u2019m managing my breathlessness\u2019: a qualitative exploration of anxiety and breathlessness in patients with advanced chronic respiratory disease receiving specialist palliative care"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5736-8629","authenticated-orcid":false,"given":"Lucy","family":"Bleazard","sequence":"first","affiliation":[{"name":"LOROS Hospice, Leicester, UK"},{"name":"University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Walker","sequence":"additional","affiliation":[{"name":"Northamptonshire Healthcare NHS Foundation Trust, Northampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Ashton","sequence":"additional","affiliation":[{"name":"LOROS Hospice, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0064-8056","authenticated-orcid":false,"given":"Christina","family":"Faull","sequence":"additional","affiliation":[{"name":"LOROS Hospice, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"2026050322501162000_16.4.e112993.1","doi-asserted-by":"crossref","first-page":"101936","DOI":"10.1016\/j.eclinm.2023.101936","article-title":"Global burden of chronic respiratory diseases and risk factors, 1990\u20132019: an update from the Global Burden of Disease Study 2019","volume":"59","author":"Momtazmanesh","year":"2023","journal-title":"eClinicalMedicine"},{"key":"2026050322501162000_16.4.e112993.2","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/S2213-2600(21)00511-7","article-title":"Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis","volume":"10","author":"Adeloye","year":"2022","journal-title":"Lancet Respir Med"},{"key":"2026050322501162000_16.4.e112993.3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0085540","article-title":"Prevalence and burden of breathlessness in patients with chronic obstructive pulmonary disease managed in primary care","volume":"9","author":"M\u00fcllerov\u00e1","year":"2014","journal-title":"PLoS One"},{"key":"2026050322501162000_16.4.e112993.4","unstructured":"Global strategy for prevention . 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